THE BARIATRIC BODIES PROJECT a Dissertation Presented to The

Total Page:16

File Type:pdf, Size:1020Kb

THE BARIATRIC BODIES PROJECT a Dissertation Presented to The THE BARIATRIC BODIES PROJECT A Dissertation Presented to The Graduate Faculty of The University of Akron In Partial Fulfillment of the Requirements for the Degree Doctor of Philosophy in Sociology Corey Stevens December, 2018 THE BARIATRIC BODIES PROJECT Corey Stevens Dissertation Approved: Accepted: ______________________________ ______________________________ Advisor Interim Department of Sociology Chair Dr. Bill Lyons Dr. Clare Stacey ______________________________ _____________________________ Committee Member Interim Dean of College of Arts & Sciences Dr. Kathryn Feltey Dr. Linda Subich ______________________________ ______________________________ Committee Member Dean of Graduate School Dr. Susan Roxburgh Dr. Chand Midha ______________________________ Committee Member Dr. Manacy Pai ______________________________ Date ______________________________ Committee Member Dr. Isa Rodriguez-Soto ______________________________ Committee Member Dr. Mary Triece ii ABSTRACT How do bariatric patients make sense of the medical, aesthetic, and moral discourses related to fat, health, and illness? How are patients’ identities shifted as their bodies change throughout the bariatric surgery process? To answer these questions, I interviewed 35 bariatric patients at various stages of their bariatric careers. I divide my findings into three chapters. First, I describe the bariatric process using Goffman’s concept of the moral career and Foucault’s ideas about discipline. The moral career of the bariatric patient proceeds through 4 stages: the pre-surgery process, recovery, the honeymoon stage, and the struggle stage. I argue that bariatric surgery utilizes two types of disciplinary technology: (1) a discursive process where patients are socialized into health behaviors and must prove themselves morally worthy of surgery; (2) an embodied process where patients’ digestive tracts are modified to punish them for straying from “the program.” Next, I focus on the illness experience of bariatric patients. Before surgery, patients experience their bodies as chronically ill and lacking in freedom. They describe fitness and pain issues which limit their day-to-day mobility. They also count down their prescription medications as an important symbol of health and illness. After surgery, patients do not view the symptoms of bariatric surgery (such as vomiting, chest pain, diarrhea, constipation, hair loss, etc.) as illness but instead as worth it in the end, as something to adjust to, and as useful tools for weight loss. After that, I explore the relationship between health, appearance, and stigma, and how this relationship is iii impacted by intersecting identities of race, class, gender, and age. Bariatric patients describe their often-contradictory experience of the Western aesthetic of health; bariatric patients carry a highly visible fat stigma which is believed to convey their health status, yet they often view appearance as less important than health. Even after losing weight, many patients continue to carry a discreditable identity, in part due to the visible markers of their former obese status on their bodies—i.e., loose skin and plastic surgery scars. Finally, I tie my findings together using the concepts of obese embodied identity and bariatric embodied identity. I conclude with a discussion of the theoretical implications and limitations of this study and propose future research. iv DEDICATION To my mother, Kim H. Stevens “All the good in me is because of you.” – St. Vincent, “I Prefer Your Love” v ACKNOWLEDGEMENTS I want to acknowledge all the bariatric patients who shared their stories with me. I am so grateful to them for their willingness to be honest and vulnerable about one of the most intimate components of their selves—their bodies. I want to thank Dr. Shannon Perkins, whose advocacy was instrumental in allowing me access to bariatric clinic patients. I can honestly say that this research would not have been possible without her. I would also like to acknowledge Dr. Christina Rummel who was my contact on the inside of the clinic. She took time out of her busy schedule to show me the inner workings of the clinic. She was enthusiastic and supportive of my work from day one—which made recruitment go very smoothly. I am grateful to the joint graduate program at the University of Akron and Kent State University for giving me the space to develop my scholarship and find my voice as an academic. I want to thank all the professors who taught and mentored me as I developed my scholarship, especially Professors Clare Stacy, Susan Roxburgh, Adrian Frech, Stacy Nofziger, Tiffany Taylor, John Zipp, Cheryl Elman, Valerie Callanan, Juan Xi, Kathy Feltey, Stephen Webster, Kristen Marcussen, Kristen Mickelson, Richard Serpe, Rebecca Erikson, and Manacy Pai. I want to thank the committee who approved this study and offered helpful advice: Professors Clare Stacey, Kathy Felty, Susan Roxburgh, and Issa Rodriguez-Soto. I would also like to thank Professors Manacy Pai and Mary Triece for stepping in to complete my committee. vi I was to especially thank Dr. Clare Stacey. Her compassion helped me succeed during a very difficult time. She taught me so much about being a teacher and a researcher. Clare was with me through the dissertation process from start to finish and I could not have asked for a better advisor, teacher, and mentor. I also want to thank Dr. Kathy Feltey. As a teacher and a co-author, Kathy has given me space to develop as a qualitative, feminist methodologist. I truly feel that I transitioned from student to colleague through working with Kathy and the rest of the pioneer women’s project, who I Would also like to thank: Cheryl Elman, Barb Wittman, and Rauslynn Boyd. As the chair of the Women’s Studies Program at the University of Akron, Kathy provided me the opportunity to gain experience teaching in the women’s studies classroom—which has expanded my feminist pedagogical praxis. More than that, Kathy has been a mentor and a friend during some difficult periods in both of our lives. For that, I am truly grateful. I also want to acknowledge my wonderful graduate colleagues who mentored me, made me laugh, and put up with a whole lot of crying. I want to thank all the collogues who indulged my short-lived attempts at forming writing groups; their feedback helped me to develop as a writer. I want to thank Peter Barr, Marci Cottingham, Dani Jauk, Jodie Henderson-Ross, Mike Steiner, and all the graduate students who took the time to mentor me. I’m grateful to my collogues at ABIA: Mike Steiner, Peter Barr, and Michael Rickles, the best coworkers a public health scholar could ask for. I want to thank my cohort for being my rocks throughout this process: Will LeSuer, Rania Isa, Kristen Santos, Brooke Long, Fritz Yarrison, Lenzy Jones, Kelsey Risman, Jackie Town-Roese, vii and Terry Mortenson. I honestly cannot name here all of the people in this program whose friendship propelled me through my graduate career. I wish them all nothing but success in and out of academia. I especially want to thank Will LeSuer, my most steadfast office companion and one of my dearest friends. We put together major events through frayed nerves, worked through difficult problems both in and out of work, and spent a lot of time distracting each other from our work. Everyone knew that they could count on Will to complete a delegated task or help them through a tough stats problem. He could help you navigate the bureaucracy and point you to the resource that you needed. More than that, Will would offer a shoulder to cry on if you needed one. Will is one of my dearest friends and I hope to continue to collaborate and confide in them for years to come. I also want to thank Jodie Henderson-Ross who has been a friend and mentor through her own transition from student to faculty. I could always count on Jodie to put things into perspective when I felt myself getting lost in the all the bullshit of the bureaucratic machine and careerist discourses. Jodie inspires me to be both bold and vulnerable in my work and life. She inspires me to not forget to prioritize my community, my loved ones, and my sanity. Jodie is the radical, brilliant institutional changemaker and community leader that we should all aspire to be. Jodie and her daughters—Mikaia and Jahara—have brought me so much joy and inspire me every day. I want to acknowledge the professionals and organizations who helped with the work. I participated in online support communities: The National Center for Faculty viii Development and Diversity “Faculty Boot Camp” and alumni program, and the “Unstuck” program provided by The Professor Is In. Both of these organizations helped give sound advice to balance my work and life and provided a community to keep moving forward through the most isolating parts of the dissertation. I want to thank Tiffany Taylor and Isa Rodriguez-Soto for recommending these websites to me. Financial support for this project was supplied in part by the Barbara J. Stephens Dissertation Award—no relation. I’d like to thank the graduate committee for this generous award. Professional transcription was provided by Issac Kongo; I would like to thank him for his diligent work and his patience. I would like to thank Carmen Tracey for their skillful editing. Working with them has been wonderful and I hope to continue to work with them in the future. I also want to thank my therapist, Melissa Kovach, who helped me work through my issues with anxiety and depression and finally finish my dissertation. On that note, I want to acknowledge Lafayette College for providing me with stable income and health insurance. Link and Phalen are right: privilege and power make all the difference. I want to thank my supportive colleagues at Lafayette College, especially my chair Professor Andrea Smith. I want to thank my family for their support.
Recommended publications
  • Size Acceptance and Intuitive Eating Improve Health for Obese, Female Chronic Dieters LINDA BACON, Phd; JUDITH S
    RESEARCH Current Research Size Acceptance and Intuitive Eating Improve Health for Obese, Female Chronic Dieters LINDA BACON, PhD; JUDITH S. STERN, ScD; MARTA D. VAN LOAN, PhD; NANCY L. KEIM, PhD come variables, and sustained improvements. Diet group ABSTRACT participants lost weight and showed initial improvement in Objective Examine a model that encourages health at ev- many variables at 1 year; weight was regained and little ery size as opposed to weight loss. The health at every improvement was sustained. size concept supports homeostatic regulation and eating Conclusions The health at every size approach enabled intuitively (ie, in response to internal cues of hunger, participants to maintain long-term behavior change; the satiety, and appetite). diet approach did not. Encouraging size acceptance, re- Design Six-month, randomized clinical trial; 2-year follow- duction in dieting behavior, and heightened awareness up. and response to body signals resulted in improved health Subjects White, obese, female chronic dieters, aged 30 to ϭ risk indicators for obese women. 45 years (N 78). J Am Diet Assoc. 2005;105:929-936. Setting Free-living, general community. Interventions Six months of weekly group intervention (health at every size program or diet program), followed oncern regarding obesity continues to mount among by 6 months of monthly aftercare group support. government officials, health professionals, and the Main outcome measures Anthropometry (weight, body mass Cgeneral public. Obesity is associated with physical index), metabolic fitness (blood pressure, blood lipids), en- health problems, and this fact is cited as the primary ergy expenditure, eating behavior (restraint, eating disor- reason for the public health recommendations encourag- der pathology), and psychology (self-esteem, depression, ing weight loss (1).
    [Show full text]
  • Bariatrics and Addiction
    Maria Trapp, Ph.D. BMI Classification 18.5 to 24.9 Normal Weight 25 to 29.9 Overweight 30+ Obesity (including extreme obesity) 40+ Extreme Obesity 2 1 in 3 adults are - • 1 considered overweight • 1 in 3 are considered obese • 1 in 13 are considered Prevalence: extremely obese Heredity Medications Computer Access to Healthy Television Food Telephone SES Sedentary Lifestyle Sleep Habits Safety . Gallstones . Cardiac Issues . Mental Health Issues . High Blood Pressure . Joint Problems and Pain . Diabetes Type 2 University of Oklahoma ---------------------------------------------------------------------------------------------------------- HIGHER RATES OF SUICIDE4 HIGHER RATES OF ALCOHOLISM5 Addiction & Bariatric Population6-7 Food Addiction Coping Strategies Social Reinforcement • Food and fellowship • Wine and respect REFERENCES 1. National Institute of Diabetes and Digestive and Kidney Disease. Overweight and obesity statistics. 2017. Available at https:www.niddk.gov/heath- information-statistics /overweight and obesity statistics. Accessed April 19, 2019. 2. Institute of health Metrics and Evaluation. The vast majority of American adults are overweight or obese, and weight is a growing problem among US children. May 28, 2014. Available at https:www.healthdata.org/news-release/vast- majority-americans. Accessed April 09, 2019. 3. American Society for metabolic and Bariatric Surgery. Life after Bariatric Surgery. Available at https://www.asmbs.org/patients/life- after-bariatric-surgery. Accessed April 09, 2019. REFERENCES 4. Peterhansel C, Petroff D, Klinitzke A, Wagner B. Risk of completed suicide after bariatric surgery: a systematic review. Obesity Reviews. 2013; 14(5): 369-382. 5. Spadola C, Wagner EF, Dillon FR, Trepka MJ, Munoz NdlC, Messiah SE. Alcohol and drug use among post-operative bariatric patients: A systematic review of the emerging research and its implications.
    [Show full text]
  • I UNIVERSITY of CALIFORNIA SAN DIEGO the Weight of Medical
    UNIVERSITY OF CALIFORNIA SAN DIEGO The Weight of Medical Authority: The Making and Unmaking of Knowledge in the Obesity Epidemic A dissertation submitted in partial satisfaction of the requirements for the degree Doctor of Philosophy in Sociology (Science Studies) by Julia Rogers Committee in charge: Professor Martha Lampland, Chair Professor Cathy Gere Professor Isaac Martin Professor David Serlin Professor Charles Thorpe 2018 i Copyright Julia Ellen Rogers, 2018 All Rights Reserved ii The Dissertation of Julia Ellen Rogers is approved, and it is acceptable in quality and form for publication on microfilm and electronically: _____________________________________________________________ _____________________________________________________________ _____________________________________________________________ _____________________________________________________________ _____________________________________________________________ Chair University of California San Diego 2018 iii DEDICATION For Eric and Anderson iv TABLE OF CONTENTS Signature Page………………………………………………………………………………iii Dedication ............................................................................................................................... iv Table of Contents ..................................................................................................................... v List of Figures and Tables ....................................................................................................... xi Vita .......................................................................................................................................
    [Show full text]
  • Healthy Eating for Seniors Handbook
    Healthy Eating for Seniors Acknowledgements CThehapter Healthy Eating for Seniors1 handbook was originally developed by the British Columbia Ministry of Health in Eat2008. Well, Many seniors Ageand dietitians Well were involved in helping to determine the content for the handbook – providing Therecipes, news isstories good. and Canadian ideas and generallyseniors contributingage 65 to andmaking over are Healthy living Eating longer for thanSeniors ever a useful before. resource. The WellMinistry after they of Health retire, would they like are to continuing acknowledge to and thank all participatethe individuals in their involved communities in the original and development to enjoy of this satisfying,resource. energetic, well-rounded lives with friends and family. For the 2017 update of the handbook, we would like However,to thank recent the public surveys health investigating dietitians from thethe regional eatinghealth and authorities exercise for habits providing of Canadians feedback on – the age nutrition 65 tocontent 84 – revealof the handbook. that seniors The couldupdate bewas doing a collaborative evenproject better. between the BC Centre for Disease Control and the Ministry of Health and made possible through funding from the BC Centre for Disease Control (an agency of the Provincial Health Services Authority). Healthy Eating for Seniors Handbook Update PROJECT TEAM • Annette Anderwald, registered dietitian (RD) • Cynthia Buckett, MBA, RD; provincial manager, Healthy Eating Resource Coordination, BC Centre for Disease Control
    [Show full text]
  • Overweight and Obesity in Adults
    UWS Clinics Conservative Care Pathways Adopted 10/05 Revised 4/15 OVERWEIGHT AND OBESITY IN ADULTS Primary author: Jim Gerber MS, DC Additional contributions made by: Ron LeFebvre DC, Joel Agresta PT, DC Owen T. Lynch DC Edited by: Ron LeFebvre DC Reviewed and Adopted by CSPE Working Group (2014) Amanda Armington DC, Daniel DeLapp DC, DABCO, LAc, ND, Lorraine Ginter DC, Shawn Hatch DC, Ronald LeFebvre DC, Owen T. Lynch DC, Ryan Ondick DC, Joseph Pfeifer DC, Anita Roberts DC, James Strange DC, Laurel Yancey DC Clinical Standards, Protocols, and Education (CSPE) Committee (2005) Shireesh Bhalerao, DC; Daniel DeLapp, DC, DABCO, ND, LAc; Elizabeth Dunlop, DC; Lorraine Ginter, DC; Sean Herrin, DC; Ronald LeFebvre, DC; Owen T. Lynch, DC; Karen E. Petzing, DC; Ravid Raphael, DC, DABCO; Anita Roberts, DC; Steven Taliaferro, DC . UWS care pathways and protocols provide evidence-informed, consensus-based guidelines to support clinical decision making. To best meet a patient's healthcare needs, variation from these guidelines may be appropriate based on more current information, clinical judgment of the practitioner, and/or patient preferences. These pathways and protocols are informed by currently available evidence and developed by UWS personnel to guide clinical education and practice. Although individual procedures and decision points within the pathway may have established validity and/or reliability, the pathway as a whole has not been rigorously tested and therefore should not be adopted wholesale for broader use. Copyright 2015 University
    [Show full text]
  • NO RAMBLING ON: the LISTLESS COWBOYS of HORSE Jon Davies
    WARHOL pages_BFI 25/06/2013 10:57 Page 108 If Andy Warhol’s queer cinema of the 1960s allowed for a flourishing of newly articulated sexual and gender possibilities, it also fostered a performative dichotomy: those who command the voice and those who do not. Many of his sound films stage a dynamic of stoicism and loquaciousness that produces a complex and compelling web of power and desire. The artist has summed the binary up succinctly: ‘Talk ers are doing something. Beaut ies are being something’ 1 and, as Viva explained about this tendency in reference to Warhol’s 1968 Lonesome Cowboys : ‘Men seem to have trouble doing these nonscript things. It’s a natural 5_ 10 2 for women and fags – they ramble on. But straight men can’t.’ The brilliant writer and progenitor of the Theatre of the Ridiculous Ronald Tavel’s first two films as scenarist for Warhol are paradigmatic in this regard: Screen Test #1 and Screen Test #2 (both 1965). In Screen Test #1 , the performer, Warhol’s then lover Philip Fagan, is completely closed off to Tavel’s attempts at spurring him to act out and to reveal himself. 3 According to Tavel, he was so up-tight. He just crawled into himself, and the more I asked him, the more up-tight he became and less was recorded on film, and, so, I got more personal about touchy things, which became the principle for me for the next six months. 4 When Tavel turned his self-described ‘sadism’ on a true cinematic superstar, however, in Screen Test #2 , the results were extraordinary.
    [Show full text]
  • 23 Exercise in Obesity from the Perspective of Hedonic Theory a Call for Sweeping Change in Professional Practice Norms
    Panteleimon Ekkekakis et al. Exercise in Obesity Ekkekakis, P., Zenko, Z., & Werstein, K.M. (2018). Exercise in obesity from the perspective of hedonic theory: A call for sweeping change in professional practice norms. In S. Razon & M.L. Sachs (Eds.), Applied exercise psychology: The challenging journey from motivation to adherence (pp. 289-315). New York: Routledge. 23 Exercise in Obesity From the Perspective of Hedonic Theory A Call for Sweeping Change in Professional Practice Norms Panteleimon Ekkekakis , Zachary Zenko , and Kira M . Werstein Two thirds of American adults, as well as the majority of adults in most other western coun- tries, are considered overweight, and up to one third are obese ( Finucane et al., 2011 ; Flegal, Carroll, Kit, & Ogden, 2012 ; Ng et al., 2014 ; von Ruesten et al., 2011 ). The average client that exercise practitioners are likely to face in the United States today has a body mass index of 28.7 kg/m 2 , just short of the threshold for being designated “obese.” In some clinical settings, such as cardiac rehabilitation ( Bader, Maguire, Spahn, O’Malley, & Balady, 2001 ) or osteoarthritis clinics ( Frieden, Jaffe, Stephens, Thacker, & Zaza, 2011 ), half of the patients are classifi ed as obese and almost all are overweight. Regular physical activity is an essential component of lifestyle interventions recommended for weight management ( Jensen et al., 2014 ), having been shown to signifi cantly improve long- term weight loss beyond what can be achieved by diet-only programs ( Johns, Hartmann-Boyce, Jebb, & Aveyard, 2014 ). The problem is that very few adults with obesity participate in physi- cal activity at the recommended levels ( Ekkekakis, Vazou, Bixby, & Georgiadis, 2016 ).
    [Show full text]
  • Tri State Weight Loss Surgery Online Seminar Transcription
    Tri State Weight Loss Surgery Online Seminar Transcription This transcription is intended for anyone interested in reviewing the material in our online seminar. Reading this transcription DOES NOT take the place of watching the online seminar. LIFE-CHANGING JOURNEY Timothy/Sleeve Gastrectomy Patient – lost 97 lbs. “Weight loss surgery has changed me in so many different ways. There was a time where getting out of bed was difficult. Now I enjoy getting up in the morning. I can walk. I go out in the morning I take a walk, I breathe the air, I’m so grateful for being here.” Wendy/Sleeve Gastrectomy Patient – lost 132 lbs. “I’m down to one rheumatoid medicine a day, no sleep apnea. I was borderline diabetes which I’m no longer, everything is phenomenal.” Kayliegh/Sleeve Gastrectomy Patient – lost 101 lbs. “Now, I have energy for days. I mean I just keep moving and moving and moving. I don’t get tired, before I wanted to sit down every three seconds.” Wayne Weiss, MD FACS “If you can then offer someone a complete change, you can take them from a trapped existence and release them, you know release them from medications, release them to start relationships they couldn’t have done before, release them to allow them to get a job they could never considered; these are such live changing existences and changes that people are so thrilled, their so happy, that they’re so grateful.” WHY WEIGHT LOSS SURGERY Peter H. Kwon, MD FACS “Everyone may be able to lose 20-30 lbs.
    [Show full text]
  • Rhode Island M Edical J Ournal
    RHODE ISLAND M EDICAL J OURNAL SPECIAL SECTION OBESITY TREATMENT OPTIONS – AN OVERVIEW GUEST EDITOR: DIETER POHL, MD, FACS MARCH 2017 VOLUME 100 • NUMBER 3 ISSN 2327-2228 RHODE ISLAND M EDICAL J OURNAL 14 Medical, Surgical, Behavioral, Preventive Approaches to Address the Obesity Epidemic DIETER POHL, MD, FACS D. Pohl, MD 15 Diabetes, Obesity, and Other Medical Diseases – Is Surgery the Answer? DIETER POHL, MD, FACS, FASMBS AARON BLOOMENTHAL, MD, FACS A. Bloomenthal, MD 18 Obesity Epidemic: Cover photos © Obesity Pharmaceutical weight loss Action Coalition. STEPHANIE A. CURRY, MD S. Curry, MD 21 Behavioral Approaches to the Treatment of Obesity KAYLONI OLSON, MA DALE BOND, PhD RENA R. WING, PhD K. Olson, MD D. Bond, MD R. Wing, PhD 25 More than an Ounce of Prevention: A Medical-Public Health Framework for Addressing Unhealthy Weight in Rhode Island DORA M. DUMONT, PhD, MPH KRISTI A. PAIVA, MPH K. Paiva, MPH E. Lawson, MPH ELIZA LAWSON, MPH 28 Quality Improvement Processes in Obesity Surgery Lead to Higher Quality and Value, Lower Costs HOLLI BROUSSEAU, AGACNP DIETER POHL, MD, FACS, FASMBS H. Brousseau, AGACNP OBESITY TREATMENT OPTIONS – AN OVERVIEW Medical, Surgical, Behavioral, Preventive Approaches to Address the Obesity Epidemic DIETER POHL, MD GUEST EDITOR 14 14 EN This issue of the Rhode Island Medical Journal deals with There are a number of sci- obesity and is meant for the practicing physician to get an entifically well-researched and In Rhode Island, up-to-date overview of available preventative community successful treatment options about 25%, or services from the State of Rhode Island and evidenced-based available.
    [Show full text]
  • A Systematic Review to Answer the Following Question: What Is the Relationship Between the Frequency of Eating During Pregnancy and Gestational Weight Gain?
    DRAFT – Current as of 1/21/2020 WHAT IS THE RELATIONSHIP BETWEEN THE FREQUENCY OF EATING DURING PREGNANCY AND GESTATIONAL WEIGHT GAIN?: SYSTEMATIC REVIEW PROTOCOL This document describes the protocol for a systematic review to answer the following question: What is the relationship between the frequency of eating during pregnancy and gestational weight gain? This systematic review is being conducted by the 2020 Dietary Guidelines Advisory Committee, Frequency of Eating Subcommittee, and staff from USDA’s Nutrition Evidence Systematic Review (NESR). NESR methodology for answering a systematic review question involves: • searching for and selecting articles, • extracting data and assessing the risk of bias of results from each included article, • synthesizing the evidence, • developing a conclusion statement, • grading the evidence underlying the conclusion statement, and • recommending future research. More information about NESR’s systematic review methodology is available on the NESR website: https://nesr.usda.gov/2020-dietary-guidelines-advisory-committee-systematic-reviews. This document includes details about the methodology as it will be applied to the systematic review as follows: • The analytic framework (p. 3) illustrates the overall scope of the question, including the population, the interventions and/or exposures, comparators, and outcomes of interest. • The literature search and screening plan (p. 4) details the electronic databases and inclusion and exclusion criteria (p. 4) that will be used to search for, screen, and select articles to be included in the systematic review. • The literature search and screening results (p. 8) includes a list of included articles, and a list of excluded articles with the rationale for exclusion. This protocol is up-to-date as of: 1/21/2020.
    [Show full text]
  • The Complete Gastric Band Guide ©
    The Sydney Institute for Obesity Surgery 1 The Complete Gastric Band Guide © Success or Failure: Weight loss surgery relies on the right patient, the right surgeon with the correct state of the art surgical technique and patient follow up. This applies to all weight loss surgery. However you are also an important link in the chain. If your operation is technically correct, you are the reason for your success or failure. Ultimately, it depends upon you. The Definition of Success: We all tend to think about success in “weight loss” in terms of the amount of weight lost. Certainly your carers tend to be focussed on weight. This is partly because weight is an easily measurable and reproducible entity. But weight can be a poor indicator of your progress overall. It is far better to think about weight loss in terms of how your size changes, how your shape changes, your well being and quality of life and biochemical markers derived from blood tests. Weight is just one part of all these indicators and they may all be independent of weight. The best weight loss goals therefore are about quality of life, biochemical milestones (i.e. the resolution of fatty liver, remission of diabetes) and simply moving from a larger clothing size to a smaller one. To focus on weight alone neglects all the other important improvements in your being. If your weight does not drop appreciably but your clothes are looser and you are more mobile, something good has happened to your body and should not be discounted given a minimal weight loss.
    [Show full text]
  • Unc Bariatric Surgery
    UNC BARIATRIC SURGERY A Guide to Surgical Weight Loss Everything TO GAIN. Center of Excellence WELCOME USER ID: PASSWORD: (At least 8 characters) ANSWER TO SECURITY QUESTION: SELECT ONLY ONE: Your closest childhood friend? Name of your first pet? Favorite person from history? Make of your first car? Remember to keep User ID and Password in a safe location. Do not share this information. Need help with My UNC Chart? Call (888) 996-2767 Important COVID-19 Updates: Nutrition Class will vary based on availability and maybe scheduled as a 1:1 visit, in person group visit, or virtual group visit NP visits are being conducted in person and via telehealth using the Doximity app Psychology visits are being conducted via telehealth using UNC MyChart or Phone Labs should be drawn at a UNC Health facility In person support groups are on hold indefinitely Groups are conducted via Zoom: ID: 348 693 8360 Pass code: 054 840 Meeting held at 6pm on 1st Monday of each month, unless a holiday www.uncweightlosssurgery.com SCHEDULING CONTACTS Bariatric Nurse Practitioner: Name Location Phone Clinic Day/s Tara Zychowicz UNC Memorial 984-974-0150 Tuesdays Hillsborough 984-215-3500 Mondays Wednesdays Thursdays Fridays Dietitians: Name Location Phone Clinic Day/s Susan Strom Hillsborough 984-215-3500 Mondays Wednesdays Thursdays Fridays Peggy Wrobleski UNC Memorial 984-215-3500 Tuesdays and Wednesdays Hillsborough 984-974-2950 Thursdays Eastowne 984-215-3500 Fridays Group Nutrition Class: Name Location Phone Clinic Day/s Nutrition Class Hillsborough 984-215-3500 1st & 3rd Friday of the month Class is 2pm-3pm; arrive by 1:45pm.
    [Show full text]